Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.50 / $5,458.10	Facility		$4.57	$8.50	$5,458.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.40 / $6.19	Professional		$4.36	$4.40	$6.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $9.00 / $14.22	Facility		$4.34	$9.00	$14.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $6.64	Professional		$4.36	$4.36	$6.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $4.36	Professional		$3.73	$3.73	$4.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.36	Facility		$4.11	$4.11	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Professional		$4.36	$4.36	$4.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.71 / $4.36 / $37.61	Professional		$3.71	$4.36	$37.61
Medcost Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $12.97 / $74.36	Facility		$4.36	$12.97	$74.36
Medcost Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $84.00 / $150.00	Professional		$8.00	$84.00	$150.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $5.23 / $15.00	Facility		$4.36	$5.23	$15.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $5.23 / $15.00	Professional		$4.36	$5.23	$15.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $4.62 / $5.15	Professional		$4.36	$4.62	$5.15